SynthesisNursing in critical care2025
Nurse-involved early mobilization in the intensive care unit: A systematic review and meta-analysis.
Synthesis in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy and safety of early mobilization in patients with ARDS: a systematic review and meta-analysis.Frontiers in medicine · 2026Pooled it
- Nurse-involved early mobilization in the intensive care unit: A systematic review and meta-analysis.Nursing in critical care · 2025Pooled it
- Evaluation of Inter-Method Reliability Between Palarum PUP Smart SocksSensors (Basel, Switzerland) · 2026Article
- Development and Validation of an Early Post-Liver Transplant Activity Knowledge, Attitude, and Practice Questionnaire for Intensive Care Unit Nurses: A Multicenter Study.Annals of transplantation · 2026Article
- Acute Pain Trajectory Phenotypes are Associated with Kinesiophobia and Functional Recovery in Surgical/Trauma ICU Patients: A 5-Year Retrospective Cohort Study Using a PERMA-Informed Framework.Journal of pain research · 2026Article
- Effects of nursing interventions on clinical outcomes in patients undergoing abdominal surgery: A systematic review and meta-analysis.Journal of education and health promotion · 2026Article
- Early progressive ambulation in neurosurgical patients with tracheostomy: clinical application and evaluation.Frontiers in neurology · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly mobilization is one proposed strategy for reducing complications and optimizing patient outcomes. Nurses play an essential role in patient monitoring and co-ordination.
aimsTo assess the effects of a nurse-involved early mobilization programme on muscle strength and intensive care unit (ICU) length of stay and identify the components of an early mobilization programme. STUDY
designA systematic review and meta-analysis were conducted. MEDLINE (PubMed), Embase, Cochrane and CINAHL databases were searched. Eligible studies included randomized controlled trials (RCTs) and non-randomized studies of adult ICU patients undergoing early mobilization. The studies were appraised using RoB 2.0 and ROBINS-I tools, and a meta-analysis was performed using Rstudio 2023.06.2.
resultsNine studies were selected from 943 studies. Four studies involved only ICU nurses, while five involved multidisciplinary teams. Concerns about bias were raised in four RCTs, and two non-randomized studies had moderate bias risk. Interventions involved progressive exercise steps, but none detailed the specific role of nurses. Early mobilization significantly decreased ICU length of stay (95% CI: -3.22, -0.11; p = .04), although it did not improve muscle strength (95% CI: -0.86, 0.99; p = .80).
conclusionsNurse-involved early mobilization was associated with a reduction in ICU stay, although it did not impact muscle strength. The nurses' roles were not specifically defined. RELEVANCE TO CLINICAL PRACTICE: An analysis of relevant tasks is necessary to clarify the role of nurses in early mobilization and to provide optimal care. Including these roles is crucial in the development of standardized early mobilization.
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